Brenton S. Adams, M.D.
Individual provider Active NPI Family Medicine Physician · Louisville, KY
NPI 1699725762 · NPPES record last updated Nov 16, 2010
Key facts
- NPI
- 1699725762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 16195 (KY)
- Practice address
- 4423 Bardstown Rd
Louisville, KY 40218-3235 - Phone
- (502) 495-2400
- Fax
- (502) 499-6306
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16195 | KY | Yes |
Addresses
Primary practice location
4423 Bardstown Rd
Louisville, KY 40218-3235
Mailing address
6801 Dixie Hwy
Ste 130
Louisville, KY 40258-3913
Phone (502) 495-2400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64161953 | Medicaid | KY |
Other providers in Louisville, KY
- Abigail Mulloy Adams
- Amanda Kaitlin Adams
- Angela Marie Adams
- Ashley Nicole Adams
- Blaire Adams
- Cheryl T. Adams
- Christine Beate Lieber Adams
- Christopher A Adams
- Cynthia R Adams
- Davon Dejoun Adams
All providers in Louisville, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.